ArticleBMC public health2020
Birth order is associated with caries development in young children: a register-based cohort study.
Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 30 citations in OpenAlex.
- A Longitudinal Study on Dental Caries Focusing on Long-Term Breastfed Children in Japan.Nutrients · 2025Article
- Breastfeeding and early tooth eruption as predictors of dental caries occurrence throughout childhood.Scientific reports · 2025Article
- Association between snack parenting style and dental caries status of children aged 7-8 years: a sequential mixed method approach.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2025Article
- Determinants of dental caries in deciduous teeth among Iranian school children: Evidence from a developing country.PloS one · 2025Article
- Persistent oral health inequality in children-repeated cross-sectional studies in 2010 and 2019.BMC public health · 2024Article
- Integrating oral and social factors in individual caries risk assessments in preschool children-a registry-based study.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2024Article
- A generalized Poisson regression analysis of determinants of early neonatal mortality in Ethiopia using 2019 Ethiopian mini demographic health survey.Scientific reports · 2024Article
- Oral health manifestations and the perceived quality of life among Saudi children: a cross-sectional study.PeerJ · 2024Article
- The number of erupted teeth as a risk factor for dental caries in eighteen-month-old children: a cross‑sectional study.BMC oral health · 2023Article
- The association of maternal smoking and other sociobehavioral factors with dental caries in toddlers: A cross-sectional study.Frontiers in pediatrics · 2023Article
- Family Influences on the Dental Caries Status of Children with Special Health Care Needs: A Systematic Review.Children (Basel, Switzerland) · 2022Review
- Article
- Caries status of first-born child is a predictor for caries experience in younger siblings.Clinical oral investigations · 2022Article
- Association between Insufficient Sleep and Dental Caries among Preschoolers in Japan: A Cross-Sectional Multicentre Study.European journal of investigation in health, psychology and education · 2021Article
- Salivary cystatin S levels in children with early childhood caries in comparison with caries-free children; statistical analysis and machine learning.BMC oral health · 2021Article
- Sibling rank and sibling number in relation to cardiovascular disease and mortality risk: a nationwide cohort study.BMJ open · 2021Article
- Association of Early Childhood Caries and Multiple Variable Factors in 3-6-year-old Children.International journal of clinical pediatric dentistryArticle
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBirth order has been shown to affect the health of the child; less is known, however, about how birth order affects caries development in children. Thus, the present study investigated the association between birth order and dental caries development in young children.
methodsThis retrospective registry-based cohort study included all children born in 2000-2003 who were residing in Stockholm County, Sweden, at age 3 years (n = 83,147). The study followed the cohort until subjects reached 7 years of age. Children with registry data on dental examinations and sociodemographic characteristics at ages 3- and 7 years constituted the final study cohort (n = 65,259). The outcome variable was "caries increment from age 3- to 7 years" (Δdeft > 0) and the key exposure, "birth order", was divided into five groups. A forward stepwise logistic binary regression was done for the multivariate analysis with adjustments for sociodemographic factors.
resultsAt age 3 years, 94% had no fillings or manifest caries lesions. During the study period, 22.5% (n = 14,711) developed dental caries. The final logistic regression analysis found a statistically significant positive association between birth order and caries increment. Further, excess risk increased with higher birth order; with the mother's first-born child as reference, risk for the second-born child was OR 1.17, 95% CI = 1.12-1.23; for the third-born child, OR 1.47, 95% CI = 1.38-1.56; for the fourth-born child, OR 1.69, 95% CI = 1.52-1.88; and for the fifth-born or higher birth-order child, OR 1.84, 95% CI = 1.58-2.14.
conclusionsThese findings show that birth order influences caries development in siblings, suggesting that birth order can be regarded as a predictor for caries development in young children. This factor may be helpful in assessing caries risk in preschool children and should be considered in caries prevention work in young children with older siblings.
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